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Organization

LAFAYETTE COUNTY HUMAN SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES THOMAS MACDONALD (DIRECTOR)
(608) 776-4800
Entity
Organization

Contact information

Practice address
627 MAIN ST, DARLINGTON, WI 53530-1395
(608) 776-4800
(608) 776-4914
Mailing address
627 MAIN ST, DARLINGTON, WI 53530-1395
(608) 776-4800
(608) 776-4914

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2279
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43427700
WI
Enumeration date
04/07/2008
Last updated
04/07/2008
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